Smoking in cars in England: a study of school students in an English city

Background Exposure to secondhand smoke is associated with an increased risk of adverse health effects among children. Although smoking in the home is an established major source of exposure, less is known about rules on smoking in cars. Methods In a survey including a sample of secondary school students in Nottingham (UK) in 2012, participants were asked whether smoking was allowed in the family car, and how often the respondent travelled in a car in which smoking was allowed. Rules on smoking in cars were investigated in relation to socio-demographic variables and whether children had ever smoked themselves using logistic regression. Results Of 4,190 students aged 11–16 who provided data, approximately 12% reported that smoking was allowed in their family car and 35% that they travelled in a car where smoking was allowed at least sometimes. Absence of smoke free rules in the family car was more likely to be reported by children from more disadvantaged families, if parents and friends were smokers and if smoking was allowed in the main home. These factors, and having a sibling who smokes, were also independently associated with an increased risk of travelling in a car in which smoking was allowed at least sometimes. Respondents who were not protected from secondhand smoke in the car were also more likely to have ever smoked (adjusted odds ratio 1.59, 95% CI 1.18-2.14). Conclusions Absence of smoke free rules in a family car and travelling in a car where smoking was allowed was relatively common among secondary school students, was strongly related to social disadvantage and a higher risk of smoking experimentation. Measures to prevent such exposure are therefore indicated

Nonorographic generation of Arctic polar stratospheric clouds during

[1] During December 1999, polar stratospheric clouds (PSCs) were observed in the absence of conditions conducive to generation by topographic gravity waves. The possibility is explored that PSCs can be generated by inertia gravity waves (IGW) radiating from breaking synoptic-scale Rossby waves on the polar front jet. The aerosol features on 7 and 12 December are selected for comparison with theory and with simulations using the University of Wisconsin Nonhydrostatic Modeling System (UWNMS). Consistent with Rossby adjustment theory, a common feature in the UWNMS simulations is radiation of IGW from the tropopause polar front jet, especially from sectors which are evolving rapidly in the Rossby wave breaking process. Packets of gravity wave energy radiate upward and poleward into the cold pool, while individual wave crests propagate poleward and downward, causing mesoscale variations in vertical motion and temperature. On 12 December the eastbound DC-8 lidar observations exhibited a fairly uniform field of six waves in aerosol enhancement in the 14-20 km layer, consistent with vertical displacement by a field of IGW propagating antiparallel to the flow, with characteristic horizontal and vertical wavelengths of $300 and$10 km. UWNMS simulations show emanation of a field of IGW upward and southwestward from a northward incursion of the polar front jet. The orientation and evolution of the aerosol features on 7 December are consistent with a single PSC induced by an IGW packet propagating from a breaking Rossby wave over western Russia toward the northeast into the coldest part of the base of the polar vortex, with characteristic period $9 hours, vertical wavelength$12 km, and horizontal wavelength $1000 km. Linear theory shows that for both of these cases, IGW energy propagates upward at$1 km/hour and horizontally at $100 km/hour, with characteristic trace speed$30 m/s. The spatial orientation of the PSC along IGW phase lines is contrasted with the nearly horizontal filamentary structures in the PSC, which are indicative of flow streamlines. It is suggested that vertical displacement is a crucial factor in determining whether a PSC will form and that most PSCs are relatable to specific synoptic and mesoscale motions

Nonorographic generation of Arctic polar stratospheric clouds during

[1] During December 1999, polar stratospheric clouds (PSCs) were observed in the absence of conditions conducive to generation by topographic gravity waves. The possibility is explored that PSCs can be generated by inertia gravity waves (IGW) radiating from breaking synoptic-scale Rossby waves on the polar front jet. The aerosol features on 7 and 12 December are selected for comparison with theory and with simulations using the University of Wisconsin Nonhydrostatic Modeling System (UWNMS). Consistent with Rossby adjustment theory, a common feature in the UWNMS simulations is radiation of IGW from the tropopause polar front jet, especially from sectors which are evolving rapidly in the Rossby wave breaking process. Packets of gravity wave energy radiate upward and poleward into the cold pool, while individual wave crests propagate poleward and downward, causing mesoscale variations in vertical motion and temperature. On 12 December the eastbound DC-8 lidar observations exhibited a fairly uniform field of six waves in aerosol enhancement in the 14-20 km layer, consistent with vertical displacement by a field of IGW propagating antiparallel to the flow, with characteristic horizontal and vertical wavelengths of $300 and$10 km. UWNMS simulations show emanation of a field of IGW upward and southwestward from a northward incursion of the polar front jet. The orientation and evolution of the aerosol features on 7 December are consistent with a single PSC induced by an IGW packet propagating from a breaking Rossby wave over western Russia toward the northeast into the coldest part of the base of the polar vortex, with characteristic period $9 hours, vertical wavelength$12 km, and horizontal wavelength $1000 km. Linear theory shows that for both of these cases, IGW energy propagates upward at$1 km/hour and horizontally at $100 km/hour, with characteristic trace speed$30 m/s. The spatial orientation of the PSC along IGW phase lines is contrasted with the nearly horizontal filamentary structures in the PSC, which are indicative of flow streamlines. It is suggested that vertical displacement is a crucial factor in determining whether a PSC will form and that most PSCs are relatable to specific synoptic and mesoscale motions

The Lunacy Commission.

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Outer-Sphere Contributions to the Electronic Structure of Type Zero Copper Proteins

Bioinorganic canon states that active-site thiolate coordination promotes rapid electron transfer (ET) to and from type 1 copper proteins. In recent work, we have found that copper ET sites in proteins also can be constructed without thiolate ligation (called “type zero” sites). Here we report multifrequency electron paramagnetic resonance (EPR), magnetic circular dichroism (MCD), and nuclear magnetic resonance (NMR) spectroscopic data together with density functional theory (DFT) and spectroscopy-oriented configuration interaction (SORCI) calculations for type zero Pseudomonas aeruginosa azurin variants. Wild-type (type 1) and type zero copper centers experience virtually identical ligand fields. Moreover, O-donor covalency is enhanced in type zero centers relative that in the C112D (type 2) protein. At the same time, N-donor covalency is reduced in a similar fashion to type 1 centers. QM/MM and SORCI calculations show that the electronic structures of type zero and type 2 are intimately linked to the orientation and coordination mode of the carboxylate ligand, which in turn is influenced by outer-sphere hydrogen bonding

Protein target highlights in CASP15: Analysis of models by structure providers

We present an in-depth analysis of selected CASP15 targets, focusing on their biological and functional significance. The authors of the structures identify and discuss key protein features and evaluate how effectively these aspects were captured in the submitted predictions. While the overall ability to predict three-dimensional protein structures continues to impress, reproducing uncommon features not previously observed in experimental structures is still a challenge. Furthermore, instances with conformational flexibility and large multimeric complexes highlight the need for novel scoring strategies to better emphasize biologically relevant structural regions. Looking ahead, closer integration of computational and experimental techniques will play a key role in determining the next challenges to be unraveled in the field of structural molecular biology

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research